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Imatinib Mesylate in Treating Patients With Metastatic Breast Cancer

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT00045188
Recruitment Status : Completed
First Posted : January 27, 2003
Last Update Posted : January 23, 2013
Sponsor:
Information provided by (Responsible Party):
National Cancer Institute (NCI)

Tracking Information
First Submitted Date  ICMJE September 6, 2002
First Posted Date  ICMJE January 27, 2003
Last Update Posted Date January 23, 2013
Study Start Date  ICMJE August 2002
Actual Primary Completion Date July 2004   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: January 22, 2013)
Objective tumor response (CR + PR), as determined by the RECIST criteria [ Time Frame: Up to 2 years ]
Original Primary Outcome Measures  ICMJE Not Provided
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: January 22, 2013)
  • Incidence of adverse events [ Time Frame: Up to 2 years ]
  • Time to progression [ Time Frame: Up to 2 years ]
    Reported using the Kaplan-Meier method with 95% confidence intervals indicated.
  • Overall survival [ Time Frame: Up to 2 years ]
    Reported using the Kaplan-Meier method with 95% confidence intervals indicated.
Original Secondary Outcome Measures  ICMJE Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Imatinib Mesylate in Treating Patients With Metastatic Breast Cancer
Official Title  ICMJE Phase II Trial of STI571 in Metastatic Breast Cancer
Brief Summary Phase II trial to study the effectiveness of imatinib mesylate in treating patients who have metastatic breast cancer. Imatinib mesylate may stop the growth of cancer by blocking the enzymes necessary for tumor cell growth
Detailed Description

PRIMARY OBJECTIVES:

I. To determine the efficacy of STI571 in metastatic breast cancer (MBC) that demonstrates expression of CD117 (c-kit) and/ or PDGFR.

SECONDARY OBJECTIVES:

I. To determine the clinical activity of STI571 in MBC with expression of CD117 (ckit) and/ or PDGFR by evaluating progression-free survival (PFS).

II. To determine the toxicity profile and tolerability of STI571 in patients with MBC.

III. To define serum, tissue and imaging surrogate endpoints of activity of STI571 in MBC.

OUTLINE:

Patients receive oral imatinib mesylate twice daily. Treatment continues for at least 8 weeks in the absence of disease progression or unacceptable toxicity.

Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 2
Study Design  ICMJE Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Condition  ICMJE
  • Male Breast Cancer
  • Recurrent Breast Cancer
  • Stage IV Breast Cancer
Intervention  ICMJE
  • Drug: imatinib mesylate
    Given PO
    Other Names:
    • CGP 57148
    • Gleevec
    • Glivec
  • Other: laboratory biomarker analysis
    Optional correlative studies
Study Arms  ICMJE Experimental: Treatment (imatinib mesylate)
Patients receive oral imatinib mesylate twice daily. Treatment continues for at least 8 weeks in the absence of disease progression or unacceptable toxicity.
Interventions:
  • Drug: imatinib mesylate
  • Other: laboratory biomarker analysis
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: January 22, 2013)
35
Original Enrollment  ICMJE Not Provided
Study Completion Date  ICMJE Not Provided
Actual Primary Completion Date July 2004   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Histologically or cytologically confirmed metastatic breast cancer
  • Documented expression of CD117 (c-kit) or platelet-derived growth factor receptor

    • Adequate tumor tissue from either the primary tumor and/or metastatic disease available for evaluation
  • Must have received prior chemotherapy with an anthracycline (doxorubicin or epirubicin) and/or taxane (paclitaxel or docetaxel) as adjuvant or for advanced disease
  • At least 1 unidimensionally measurable lesion

    • At least 20 mm by conventional techniques OR at least 10 mm by spiral CT scan
    • Bone disease may not be only source of measurable disease
    • Pleural or peritoneal ascites are not considered measurable disease
  • No known brain metastases
  • Hormone receptor status:

    • Not specified
  • Female or male
  • Not specified
  • Performance status - ECOG 0-2
  • Performance status - Karnofsky 60-100%
  • More than 12 weeks
  • Absolute neutrophil count at least 1,500/mm^3
  • WBC at least 3,000/mm^3
  • Platelet count at least 100,000/mm^3
  • Bilirubin normal
  • AST or ALT no greater than 2.5 times upper limit of normal
  • Creatinine normal
  • Creatinine clearance at least 60 mL/min
  • No symptomatic congestive heart failure
  • No unstable angina pectoris
  • No cardiac arrhythmia
  • No other uncontrolled concurrent illness
  • No ongoing or active infection
  • No prior allergic reaction attributed to compounds of similar chemical or biologic composition to imatinib mesylate
  • No other malignancy within the past 5 years except basal cell skin cancer or carcinoma in situ of the cervix
  • No psychiatric illness or social situation that would preclude study compliance
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective barrier contraception during and for 1 week after study
  • No concurrent biologic agents
  • No more than 2 prior chemotherapy regimens for metastatic disease

    • Therapy with high-dose regimens or bone marrow transplantation considered 1 regimen
  • At least 4 weeks since prior chemotherapy (6 weeks for carmustine or mitomycin) and recovered
  • No concurrent chemotherapy
  • Prior hormonal therapy for stage IV disease and/or as adjuvant therapy allowed
  • At least 4 weeks since prior radiotherapy and recovered
  • Prior localized radiotherapy that does not influence the signal of the evaluable lesion is allowed
  • At least 2 weeks since prior minor surgery
  • At least 4 weeks since prior major surgery
  • Recovered from prior surgery
  • Low-molecular weight heparin or heparin allowed for anticoagulation
  • No concurrent warfarin
  • No concurrent combination antiretroviral therapy for HIV-positive patients
  • No concurrent investigational therapies or agents
  • No other concurrent anticancer therapy
  • No concurrent intake of cola, orange juice, grapefruit, or orange or grapefruit sections
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE United States
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT00045188
Other Study ID Numbers  ICMJE NCI-2012-02491
IDO1-691
N01CM17003 ( U.S. NIH Grant/Contract )
CDR0000256915 ( Registry Identifier: PDQ (Physician Data Query) )
Has Data Monitoring Committee Not Provided
U.S. FDA-regulated Product Not Provided
IPD Sharing Statement  ICMJE Not Provided
Responsible Party National Cancer Institute (NCI)
Study Sponsor  ICMJE National Cancer Institute (NCI)
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Principal Investigator: Massimo Cristofanilli M.D. Anderson Cancer Center
PRS Account National Cancer Institute (NCI)
Verification Date January 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP